CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: The Women's Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $11
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at The Women's Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.13x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $20 (206%)
Insurance Median: $11 (113%)
Cash: $20 (206% of Medicare)
Ins. Median: $11 (113% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $4 - $62 41%
Amish $4 - $20 41%
Passport Molina Ky $4 - $62 41%
UnitedHealthcare $4 - $217 41%
Wellcare Ky $4 - $62 41%
Blue Cross Blue Shield $7 - $10 72%
Immergrun $7 - $113 72%
Meridian Health Il $7 - $10 72%
Molina Il $7 - $10 72%
Iu Health $8 - $136 82%
Self Pay $9 - $160 93%
Alliance Coal $10 - $188 103%
Caresource $10 103%
Caresource Hip $10 103%
Caresource In $10 103%
Chamber Care $10 - $34 103%
Humana $10 103%
Mdwise Hip $10 103%
Mhs $10 103%
Mhs Behavioral $10 103%
Molina Ky $10 103%
Molina Ky Dual $10 103%
Patoka Valley Health Care (80/20 Plan) $10 103%
Patoka Valley Health Care (90/10 Plan) $10 103%
Ambetter / Centene $11 - $15 113%
Claritev (Formerly Phcs/Mulitplan) $11 - $187 113%
Encorecombined $11 - $190 113%
Encoreprime $11 - $184 113%
One Care $11 - $190 113%
Cigna $12 - $195 124%
First Health/Coventry $12 - $201 124%
Sagamore $12 - $195 124%
Caresource Marketplace (Just4Me) $13 - $15 134%
Center Care $13 - $212 134%
Healthlink $13 - $231 134%
Hst $13 - $15 134%
Allied National/Zelis - Freedom Plan $14 - $24 144%
Claimdoc $14 144%
Hope Trust $16 165%
Noncontracted $16 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals